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Acute Pericarditis:
Diagnosis and Management
MATTHEW J. SNYDER, DO, Ellis Family Medicine Residency Program, Ellis Air Force Base, Nevada
JENNIFER BEP KO, MD, David Grant Medical Center Family Medicine
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How to fill out acute pericarditis
How to fill out acute pericarditis:
01
Seek medical attention: If you suspect that you or someone you know may have acute pericarditis, it is important to seek medical attention as soon as possible. Prompt diagnosis and treatment can help alleviate symptoms and prevent complications.
02
Medical history and physical examination: The healthcare provider will start by taking a detailed medical history and conducting a physical examination. They will ask about your symptoms, medical conditions, and any risk factors for pericarditis. They may listen to your heart using a stethoscope to check for any abnormal sounds or rhythms.
03
Diagnostic tests: To confirm the diagnosis of acute pericarditis, various diagnostic tests may be ordered. These may include:
3.1
Electrocardiogram (ECG): This test helps evaluate the electrical activity of the heart and can detect abnormal rhythms or changes that may indicate pericarditis.
3.2
Chest X-ray: A chest X-ray can help visualize the heart and the pericardium (the sac surrounding the heart) to look for any abnormalities.
3.3
Blood tests: Blood tests may be done to check for markers of inflammation, such as elevated levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR).
3.4
Echocardiogram: This imaging test uses sound waves to create detailed images of the heart. It can help evaluate the structure and function of the heart and detect any fluid accumulation around the pericardium.
04
Treatment options: The treatment of acute pericarditis typically focuses on relieving symptoms, reducing inflammation, and treating the underlying cause, if identified. Treatment options may include:
4.1
Nonsteroidal anti-inflammatory drugs (NSAIDs): These medications help reduce inflammation and relieve pain. Examples include ibuprofen and aspirin. However, NSAIDs may not be recommended in certain cases, such as when there is an increased risk of bleeding or if the pericarditis is caused by a bacterial infection.
4.2
Colchicine: This medication can be used in combination with NSAIDs to further reduce inflammation and recurrence of pericarditis.
4.3
Corticosteroids: In severe cases or when other treatment options have failed, corticosteroids may be prescribed. They have potent anti-inflammatory effects but may be associated with potential side effects and complications.
4.4
Antibiotics: If the pericarditis is caused by a bacterial infection, antibiotics may be prescribed to target the underlying infection.
4.5
Pericardiocentesis: In rare cases, if there is a significant accumulation of fluid around the heart causing symptoms or complications, a procedure called pericardiocentesis may be performed. This involves removing the fluid using a needle and can be both diagnostic and therapeutic.
Who needs acute pericarditis:
01
Individuals with symptoms: Anyone experiencing symptoms such as chest pain or discomfort, which may worsen with deep breathing or lying down, should be evaluated for acute pericarditis. Other symptoms may include fever, shortness of breath, fatigue, and a dry cough.
02
Individuals at risk: Acute pericarditis can occur in individuals with certain risk factors, such as a recent viral infection (such as a respiratory infection or flu), history of a previous episode of pericarditis, autoimmune conditions, cancer, kidney failure, or after a heart attack or heart surgery. These individuals should be vigilant for symptoms and seek medical attention if they arise.
03
Those with relevant medical conditions: Certain medical conditions, such as rheumatoid arthritis, lupus, or tuberculosis, may increase the risk of developing acute pericarditis. Individuals with these conditions should be aware of the possibility and discuss any concerning symptoms with their healthcare provider.
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What is acute pericarditis?
Acute pericarditis is inflammation of the pericardium, the sac-like covering of the heart.
Who is required to file acute pericarditis?
Patients who have been diagnosed with acute pericarditis may be required to report it to their healthcare provider or relevant authorities.
How to fill out acute pericarditis?
Patients can fill out acute pericarditis by providing details of their symptoms, medical history, and any treatments received.
What is the purpose of acute pericarditis?
The purpose of reporting acute pericarditis is to track cases, provide appropriate treatment, and prevent potential complications.
What information must be reported on acute pericarditis?
Information such as symptoms, medical history, diagnostic tests, treatments, and outcomes should be reported on acute pericarditis.
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